ML101550684

Letter and Audit Report, Covering Licensee Regulatory Commitments Made in Period Summer 2007 to Summer 2010

ML101550684
Person / Time
Site:	Kewaunee
Issue date:	04/11/2011
From:	Feintuch K Plant Licensing Branch III
To:	Heacock D Dominion Energy Kewaunee
Tam P
Shared Package
ML110900569	List: ML101550684 ML110900537
References
TAC ME3804
Download: ML101550684 (30)

Text

",-",R REG(f{ UNITED STATES

,p'" '1>

~ 01> NUCLEAR REGULATORY COMMISSION S

ot

~0 WASHINGTON, D.C. 20555-0001 I- s:

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~ i; April 11, 2011

~ ~

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Mr. David A. Heacock President and Chief Nuclear Officer Dominion Nuclear Dominion Energy Kewaunee, Inc.

Innsbrook Technical Center 5000 Dominion Boulevard Glen Allen, VA 23060-6711

SUBJECT:

KEWAUNEE POWER STATION - AUDIT OF THE LICENSEE'S MANAGEMENT OF REGULATORY COMMITMENTS (TAC NO. ME3804)

Dear Mr. Heacock:

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21, 2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document, NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments. Licensees are encouraged to use NEI 99-04 guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.

The NRC Office of Nuclear Reactor Regulation has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented. Accordingly, an audit was performed on the Kewaunee Power Station site on December 6-9, 2010, approximately 3 years from the last audit.

Based on the audit, the NRC staff concludes that (1) Dominion Energy Kewaunee, Inc. (the licensee) has implemented, or is tracking future implementation of, regulatory commitments made to the NRC; and (2) the licensee had implemented an effective program to manage regulatory commitment changes. Details of the audit are set forth in the enclosed audit report.

This completes the NRC staffs efforts on this issue.

Sincerely, 7U:1~

Karl Felntuch, Project Manager Plant Licensing Branch 111-1 Division of Operating Reactor Licensing Office of Nuclear Reactor Regulation Docket No. 50-305

Enclosure:

Audit Report cc w/encl: Distribution via ListServ

UNITED STATES NUCLEAR REGULATORY COMMISSION WASHINGTON, D.C. 20555*0001 AUDIT REPORT BY THE OFFICE OF NUCLEAR REACTOR REGULAliON (NRR)

REGULATORY COMMITMENTS MADE BY THE LICENSEE TO THE NUCLEAR REGULATORY COMMISSION (NRC)

KEWAUNEE POWER STATION (KPS)

DOCKET NO. 50-305

1.0 INTRODUCTION AND BACKGROUND

In Regulatory Issue Summary 2000-17, "Managing Regulatory Commitments Made by Power Reactor Licensees to the NRC Staff," dated September 21,2000, the Nuclear Regulatory Commission (NRC) informed licensees that the Nuclear Energy Institute (NEI) document NEI 99-04, "Guidelines for Managing NRC Commitment Changes," contains acceptable guidance for controlling regulatory commitments and encouraged licensees to use the NEI guidance or similar administrative controls to ensure that regulatory commitments are implemented and that changes to the regulatory commitments are evaluated and, when appropriate, reported to the NRC.

The NRC Office of Nuclear Reactor Regulation (NRR) has instructed its staff to perform an audit of licensees' commitment management programs once every 3 years to determine whether the licensees' programs are consistent with the industry guidance in NEI 99-04, and regulatory commitments are being effectively implemented.

NEI-99-04 defines a "regulatory commitment" as an explicit statement to take a specific action agreed to, or volunteered by, a licensee and submitted in writing on the docket to the NRC.

NRR guidelines direct the NRR Project Manager to audit the licensee's commitment management program by assessing the adequacy of the licensee's implementation of a sample of commitments made to the NRC in past licensing actions (amendments, reliefs, exemptions, etc.) and activities (bulletins, generiC letters, etc.). The audit is to be performed every 3 years.

2.0 AUDIT PROCEDURE AND RESULTS Since the last audit was completed 3 years ago (see audit report dated September 15, 2007, Agencywide Documents Access and Management System (ADAMS) Accession No. ML071860074), the NRC staff defined the period covered by this audit to be approximately the summer of 2007, to summer of 2010. The audit was performed onsite at KPS on December 6-9, 2010, using an audit sample derived from the period of interest. The audit sample consisted of 19 items. Each item was assigned the corresponding sample number as an identifier and to facilitate the collecting and collating audit results data.

-2 The KPS system is capable of separating a single regulatory commitment into separately managed actions, each with their own path to completion and with their own change history. By this mechanism the audit sample was enlarged when samples Nos. 11, 16, 17, and 19 became 11a, b, c; 16a, b; 17a, b, c; and 19a, b; respectively. Audit sample 15 was deleted after consultation with the project manager who assembled the original sample when it was determined that it yielded no additional information not obtained from the other samples, and its contribution to the audit did not justify the special handling needed because of proprietary information. Consequently, the sample size increased by a net of 24.

The audit consisted of two major parts: (1) verification of the licensee's implementation of commitments made to NRC that have been completed; and (2) verification of the licensee's program for managing changes to commitments made to NRC.

The audit was conducted to exercise the full management system including information retrieval and interpretation by assigned personnel. The Dominion Energy Kewaunee, Inc. (DEK) person directly supporting this audit was MaryJo Haese, one of three persons of comparable knowledge who routinely support the management system. Ms. Haese demonstrated fluency in retrieval of information and interpretation of it. It was concluded that DEK had sufficient infrastructure to maintain regulatory commitment management system performance should attrition occur among cognizant personnel.

2.1 Verification of Licensee's Implementation of Commitments Made to the NRC The primary focus of this part of the audit is to confirm that the licensee has implemented commitments made to the NRC as part of past licenSing actions/activities. For commitments not yet implemented, the NRC staff determines whether they have been captured in an effective program for future implementation.

2.1.1 Audit Scope The audit addressed the bulk of commitments made by the licensee during the review period.

The audit focused on regulatory commitment (as defined above) made in writing to the NRC as a result of past licenSing actions (amendments, exemptions, reliefs, etc.) or licensing activities (response to bulletins, generic letters, etc.). Commitments made in licensee event reports or in response to notices of violation were not included in this audit since those are addressed under the NRC's inspection program. Before the audit, the NRC staff searched the official Agency record system for licensee submittals conveying commitments, and has included in the audit most of the commitments found (see Table 1) by means of the sample, as expanded.

The audit excluded the following types of commitments that are internal to licensee processes:

(1) Commitments made on the licensee's own initiative among internal organizational components.

(2) Commitments that pertain to milestones of licensing actions/activities (e.g., respond to an NRC request for additional information by a certain date). Fulfillment of these commitments was indicated by the fact that the subject licensing action/activity was completed. Good examples of this type of commitments are those made in DEK's letter dated May 8,2008 (ADAMS Accession No. ML081300282).

-3 (3) Commitments made as an internal reminder to take actions to comply with existing regulatory requirements such as regulations, technical specifications, and the Updated Safety Analysis Report. Fulfillment of these commitments was indicated by the licensee having taken timely action in accordance with the subject requirements.

Since the management system performed well with the sample size of 24, there is confidence that it would have performed well in a longer audit deliberately selecting some of the excluded types of commitments. Therefore, the audit appears to be adequate in time (4 days), in sample size (24 items) and in sample type (refer to the above discussion in Section 2.1.1) to make conclusions about regulatory commitment management at KPS.

2.1.2 Audit Results The NRC staff reviewed reports generated by the licensee's tracking programs for the commitments listed in Table 1 to evaluate the status of completion. The NRC staff found that the licensee's commitment tracking programs had captured all the regulatory commitments that were identified by the NRC staff before the audit, and that the licensee had implemented the commitments on a timely basis. Table 1 summarizes what the NRC staff observed as the current status of licensee commitments.

2.2 Verification of the Licensee's Program for Managing NRC Commitment Changes The primary focus of this part of the audit is to verify that the licensee has established administrative controls for modifying or deleting commitments made to the NRC. The NRC staff compared the licensee's process for controlling regulatory commitments to the guidelines in NEI-99-04, which the NRC has found to be an acceptable guide for licensees to follow for managing and changing commitments. The process used at KPS is set forth in procedure LI-AA-110, Rev. 0, "Commitment Management," which is used to manage regulatory commitments and GNP-03.01.01, Rev. 41, when data was collected and Rev. 42, when this report was prepared, "Directive, Implementing Document, and Procedure Administrative Controls," which governs tracing the effect of regulatory commitments on procedures. Based on review of these two cited documents, the NRC staff concludes that the licensee's procedures follow closely the guidance of NEI-99-04 in that they set forth the need for identifying, tracking, and reporting commitments, and they provide a mechanism for changing commitments.

The effectiveness of a procedure can be indicated by the products that are produced by the procedure. As set forth in Section 2.1.1 and Table 1 of this report, the NRC staff found that the licensee had properly addressed the regulatory commitments selected for this audit. As a result of review of the licensee's information, the NRC staff found no reason to differ from the licensee's reported status of the audited commitments. Thus, the NRC staff concludes that the procedure used by the licensee to manage commitments is appropriate and effective.

3.0 CONCLUSION

Based on the above audit, the NRC staff concludes that (1) the licensee has implemented or is tracking future implementation of regulatory commitments made to the NRC; and (2) the licensee has implemented an effective program to manage regulatory commitment changes.

Further the licensee retains the processes and personnel to continue to do so for the next period of interest.

-4 4.0 INFORMATION TABLES SUPPORTING THIS REPORT Table 1 - "Summary Table" contains a description of each sample and its disposition at the time of the audit, as well as a judgement of whether the sample was managed effectively. Table 1 is sorted by sample number.

Table 2 - "Detailed Audit Data" contains detailed information, data and notations gathered from the audit. The most efficient means of relating Tables 1 and 2 are to cross-match the audit sample numbers in each column 1. Table 2 is sorted by sample number.

Table 3 - "Notes and Legend" contains notes from the audit experience; any abbreviations used in Tables 1,2, or the audit report; and any comments, findings, observations, or suggestions. Table 3 was used to reduce the space consumed by Table 2 in compiling and organizing the audit data. Table 3 is sorted alphabetically by the first column.

4.0 LICENSEE PERSONNEL CONTACTED FOR THIS AUDIT The licensee person who supported this audit was MaryJo Haese.

Principal Contributors: Karl Feintuch and Peter Tam Date: April 11, 2011

TABLE 1 (4 pages)

KEWAUNEE POWER STATION (KPS)

AUDIT OF WRITTEN LICENSEE COMMITMENTS

SUMMARY

TABLE 1 2 - DEK Submittal 3 - NRC TAC No. 4 - NRC Issuance 5 - Summary of commitment 6 - Licensee Audit 1mplementation Sample Status

An updated description of the station blackout alternate alternating current source.

including the quality assurance program requirements for the Complete 4/18/2008; technical support center diesel NC generator as defined in the 10129/2007 Closed in a timely Dominion Nuclear Facility Quality 1 07-0436B None None Assurance Program Description.

manner ML073100354 will be incorporated into the KPS NC = not changed Updated Safety Analysis Report wherever it appears (USAR) and provided to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e).

Prior to use of nonwelded valves with end connections other than flanges at KPS, procedures will be developed for installation of nonwelded valves with end connections other than flanges that address operating experience of NRC Information 11/9/07 Letter of 2125/08 Notices 92-15,84-55 and 84-55, Complete 1/212008; NC 2 07-0416A MD6144 granting relief. Supplement 1. The specific Closed in a timely ML073106750 ML080240029 provisions include: a) not mixing manner the parts from one manufacturer to another, b) following manufacturer's recommended instructions for installing compression fittings. and c) the training or familiarity with the procedure(s) for personnel doing this work.

Notify the NRC when the 11/9/07 Amend. No. 200, Complete 6/12/08; NC modifications to the auxiliary 3 07-0352 MD7300 11120/08.

building (AB) crane to make it Closed in a timely ML073170705 ML082971079 manner sinQle-failure proof are complete All heavy load lifts in or around the spent fuel pool made using the upgraded AB crane lifting system will meet the guidance in NUREG-0612, Section 5.1.6, as follows:

• Special lifting devices. as 11/9/07 Amend. No. 200, defined in American National Complete 1/16/09; NC 4 07-0352 MD7300 11/20/08, Standards Institute (ANSI) N14.6 Closed in a timely ML073170705 ML082971079 will meet the guidance in manner NUREG-0612. Section 5.1.6(1 lea) and ANSI N14.6-1993, as clarified in Attachment 5 to this license amendment request (LAR) .

• Lifting devices not specially designed will meet the guidance

in NUREG-0612, Section 5.1.6(1 )(b) and American Society of Mechanical Engineers (ASME)

B30.9-2003, as clarified in Attachment 5 to this LAR.

• The AB crane will meet the guidance in NUREG-0612, Section 5.1.6(2) and NUREG 0554 as clarified in Attachments 5 and 6 to this LAR

• Interfacing lift points will meet the guidance in NUREG-0612, Section 5.1.6(3), as clarified in Attachment 5 to this LAR.

Complete 12/15/08 11/9107 Amend. No. 200, Crane operator training will meet Closed in a timely 5 07-0352 MD7300 11/20108, the guidance in ASME B30.2 manner ML073170705 ML082971079 2005. Closed in a timely manner 11/9/07 Amend. No. 200, Crane maintenance and Complete 1/16/09, NC 6 07-0352 MD7300 11/20108, inspections will meet the Closed in a timely ML073170705 ML082971079 Quidance in ASME B30.2-1976. manner 11/9/07 Amend. No. 200, Revise USAR Section 9.5.2 to Complete 1/15/09: NC 7 07-0352 MD7300 11/20108, remove the dropped cask Closed in a timely ML073170705 ML082971079 analysis from the USAR. manner After LAR approval and relocation of TS 3.8.a.7 to the Technical Requirements Manual 11/9/07 Amend. No. 200, (TRM) is authorized, add to the Complete 1/16/09; NC 8 07-0352 MD7300 11/20108, TRM required actions to take if Closed in a timely ML073170705 ML082971079 the AB crane lifting system is manner found not to meet the TRM requirements during a heavy load lift.

NC, design change recorded as completed DEK will complete required Letter of 5/9/08 on 5/5/08 according to modifications to the AB crane 1119/07 (ML081150741), tTrack LAR bridge girder to end-tie 9 07-0465 MD7301 notice of withdrawal connections and confirm bolting ML073180499 ML073180499 of application for withdrawn by letter material as described in Section amendment dated 4/11/08 4.2.2.9 of this LAR.

Closed in a timely manner The KPS USAR will be modified 2/812008 In progress; NC upon final resolution of GSI-191 10 08-0017 MC4691 Review is ongoing and response to Generic Letter Open and being ML080650314 adequately maintained 2004-02.

1. DEK will place a restriction in the Kewaunee procedure governing the use of the AB 6/2/08 Amend. No. 200, Complete 1/16/09, NC crane prohibiting the use of 11a 08-0113 MD7300 11/20108, synthetic slings for heavy load Closed in a timely M L081550342 ML082971079 manner lifts with the AB crane when this crane is in the "Cask Handling" or "Override" modes of operation.

2. For the AB crane bridge welds whose failure could result in a drop of the critical load, DEK will 6/2/08 Amend. No. 200, Complete 1/16/09, NC perform nondestructive 11b 08-0113 MD7300 11/20/08, examinations at least once every Closed in a timely ML081550342 ML082971079 manner four years following completion of initial cold proof load testing of the AB crane.

3. DEK will not perform a heavy 6/2/08 Amend. No. 200, Complete 1/27/09, NC lift greater than 50 tons using the 11c 08-0113 MD7300 11/20108, AB crane. This commitment will Closed in a timely ML081550342 ML082971079 manner be superseded when a seismic

analysis, using NRC-approved methods, demonstrates acceptable results are achieved for the AB crane and establishes a new limit based on lifting heavy loads greater than 50 tons.

1. DEK will submit the results of the analyses performed using the nonlinear seismic analysis methodology described in this LAR.

2. DEK will perform a "push" test to provide empirical data documenting the force required 7/7/08 to induce crane trolley and bridge 08-0211 drive wheel rolling with the ML081930317 is a brakes applied. The results of resubmittal of an the test will be provided to the Complete 7/15/10; NC amendment request NRC.

Amend. No, 205, [All 3 managed as one from 11/9/07. (Le.,

12 Audit Sample #12 is a MD9221 4/30/09,

3. DEK will have an independent kdf]

ML090570710 Closed in a timely pickup from #9 with peer review performed of the manner supplements dated nonlinear structural model and 9/19/08 and 3/17/09) outputs of the nonlinear analysis to confirm the methodology is Note 12-2 appropriate for the application and provide a summary of the review to the NRC.

[The three items are managed as one. The 4th regulatory commitment (RgCm) in the 9/19/09 supplement was not selected for the audit sample kdf]

DEK commits to administratively control the amount of fuel oil in each fuel oil storage tank such that a minimum usable amount of Letter approving 1/27/09 32,858 gallons (including the day Complete 6/10/09; NC notice of enforcement 13 09-061 ME0435 discretion, 1/29/09, tanks) is available to supply each Closed in a timely ML090510149 emergency diesel generator manner ML090291061 (EDG) (without reliance on a portable transfer pump), for the duration of the enforcement discretion.

The installation of EDG exhaust 6/1/09 duct insulation (SAMA 160) will In progress; NC 14 09-291 MD9408 Review ongoing be further evaluated as part of Open and being ML091600037 DEK's ongoing performance adequately maintained improvement programs.

Sample deleted at request of Project Sample results not 15 Sample deleted MD9408 Manager making the See Note 15-5 used.

selection ..

1. Additional information will be included in the USAR Supplement (License Renewal Application, Appendix A),

including license renewal 8/17/09 commitments identified in Table In progress; NC License renewal 16a 09-469 MD9408 review ongoing A6.0-1, as applicable. These Open and being ML092320093 USAR Supplement changes will adequately maintained be consistent with the responses to Requests for Additional Information (RAls) B2.1.13-5, B2.1.14-3, B2.1.15-1, B2.1.18-1, B2.1.21-1, B.2.1.31-1, and B3.1

1, are proposed to support approval of the renewed operating license, and may change during the NRC review period,

2. The response to RAI B3.2-2 Complete and will be provided following 8/17/09 transferred for action by License renewal reevaluation of the environmental 16b 09-469 MD9408 review ongoing effects of fatigue for the LA001848 ML092320093 Change was NUREG/CR-6260-required adequately managed.

evaluations that used stress-based fatigue monitoring.

(The following commitments are selected from Attachment 5) rrhree of nine commitments were selected for audit - kdf]

9/24/09 Conversion to In progress; NC 17a 09491 ME2139 Improved TS review

2. DEK will establish the Open and being ML092440398 ongoing adequately maintained Technical Specification Bases for Limiting Condition for Operation (LCO) 3.0.8, as adopted, with the applicable license amendment.

7. DEK will have written procedures available describing

• compensatory measures to be 9/24/09 i taken in the event of an Conversion to Complete 1216110; NC intentional or unintentional entry 17b 09-491 ME2139 Improved TS review into LCO 3.7.12, Auxiliary Closed in a timely ML092440398 ongoing manner Building Special Ventilation (ASV) System, Condition B, "Two ASV trains inoperable due to inoperable ASV boundary."

8. DEK will add procedural direction to perform an extent of condition evaluation and perform additional testing for plausible 9/24/09 Conversion to Withdrew 12/6/10; NC common failure modes 17c 09-491 ME2139 Improved TS review associated with the reactor Closed in a timely ML092440398 ongoing manner protection system and the engineered safety features actuation system instrument analog channels.

The revised Work Control 9/25/09 Process program will be In progress; NC License renewal 18 09-597 MD9408 review ongoing developed and implemented prior Open and being ML092710045 to the period of extended adequately maintained operation.

The completion dates for the following two commitments have been revised from October 1, 2009, to October 15, 2009. rrhis RgCm was managed as two Complete (This RgCm separate items - kdf]

10/15/09 was changed from Letter of 4/1/10, 19a 09-645 MD7838 ML100880212 1. DEK will revise current fill and 1011/09 to 10/15/09)

ML092890560 Change was vent procedures to provide a adequately managed.

means and acceptance criteria to ensure that piping is sufficiently full after system fill and vent. This may include confirmation by UT or other appropriate means.

2. DEK will revise current Complete (This RgCm 10/15/09 inservice test procedures to was changed from Letter of 411/1 0, 19b 09-645 MD7838 ML100880212 provide dynamic sweeping as 10/1/09 to 10/15/09)

ML092890560 part of the filling of the systems Change was where needed to ensure systems adequately managed.

are sufficientlv full.

Table 2

• Kewaunee Power Station RgCm Data Table* Detailed Audit Data Page 1 t'o ,,~ >.

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i!0 E z updated description of t station blackout alternate alternating current source, including the quality assurance program requirements for the TSC DG as defined in the IDominion Nuclear Facility No ML#, 10/29/2007 USAR Quality Assurance Program complete since no Description, will be LCOOO111. U' 8.2.4.3, I ~~~~~~mr~ NA INA None 4/18/2008; separate 8 ... 2 4 12 , 8 .2 none LAOOO697 incorporated into the KPS NC response to Reference Updated Safety Analysis Report (USAR) and to the Nuclear Regulatory Commission (NRC) in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 50.71 (e). Table 2 ~ Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 2 c --! ~.!!:!; 1" til =. "" til - I: ill ,,<' .!!z 1: >. 2<' -§iII_<' >. 'ii I o I: § ill 0 IGz ~.a.s I: Z d iii d ill "0,, 'II: til a. ~:;:; 0 0..J .. ill Cl.l) ~ ill ""0 Ez .!! = l:T o I:TZ i ~ z ""IG I: ,2!,s8, .5 'II: I: IG 0Z .!C " Cl.tII -8z IG_ "IG 0 z

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0 with end connections than flanges at KPS. Iprocedures will be develoDe.J 142. LA000741 ('LA type"soluti on was 11/9/07 incorrect. Letter of 2/25/08 2 -0416A 44 Igranting relief. complete IData entry U* L0731 06750 1/212008; NC ML080240029 -; W 1

• Audit Sample No. III 0'

ii) N !e 0 -.I  ;;1\ 2

• DEK Submittal (J)

E

!U C

I (J)

(J) 3

• NRC TAC No. "0 0

E

.., (J) 4

• NRC Issuance

--o* en I II

I

u

~ <C ()

m3Z 3 rI!. 5. 8. !?

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• Summary of Commitment 0'

~Ql~:! ii) o  ::l  ::r::r 0(1)(1) Ol . . . . _>>::l 0 ~o~::r Ol 3 _. Ol = ,0), 0 ) (1)-< -(J) !U ii) a. A

• Action Completed (date)

>>c a.

Action in Prgress (no date) z 0 r- r-l>O 00 Not Changed I Changed to what? B

• KPS Tracking #

- 0 III III ~~ W.j;>. LC#"CAP# w~ z !? Ol 0 C *If closed, then KPS (..) closeout information h D

• Governed by KPS process document # (See Note LI*)

0 l> 0 <:n E - Affected implementing <0 ~ document 0 F

• Affected change document G

• Closed RgCm implemented in timely manner (Yes f No f NA)

Z l> H

• Open RgCm is adequately Maintained (Yes f No f NA)

I

• Changed RgCm is adequately managed (Yes I No INA)

Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 4 (\. -:; ,,~ > c i.g III > --.c ..!!z ]! ..!!..!!~ ~ y!..  ! c- ]!~ IV

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o z " Special lifting devices, as in American Nationa Standards Institutes (ANSI) N14.6 wilt meet the guida in NUREG-0612, Section 5.1.6(1 )(a) and ANSI N1 1993, as clarified in At+~,-h~onf 5 to this license request (LAR). 4 1119/07 11/20/08, 'I" . No. 200 Lifting devices not specially IcomPlete designed will meet the 1116109; NC ILCOOO141 '1~~n'r~lIo,j LAOOO135 Rev 0, 3.8.1 L082971 079 auidance in NUREG-0612, 1115/09. 5.1.6{1 )(b) and " The AS crane will meet the nee in NUREG-0612, 5.1.6(2) and NU as ciarified in .rna"f~ 5 and 6 to this c.n 1

• Audit Sample No.

2

• DEK Submittal 3

• NRC TAC No.

4 - NRC Issuance 5

• Summary of Commitment oCD ru CD 0..

A

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E

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to H

• Open RgCm is adequately Maintained (Yes I No INA) z

to I

• Changed RgCm is adequately managed (Yes I No INA)

1 - Audit Sample No. 2 - DEK Submittal 3

• NRC TAC No.

4 - NRC Issuance 5 - Summary of Commitment - o (J) r.u CD - ~ A - Action Completed (date) Col. >> c: -~z Action in Prgress (no date) Not Changed I Changed to what? Col.

(") B

• KPS Tracking #

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E - Affected implementing document F - Affected change document G

• Closed RgCm implemented in timely manner (Yes I No INA)

H

• Open RgCm is adequately Maintained (Yes I No INA)

Z l> I - Changed RgCm is adequately "U managed (Yes I No INA) r.u (0 (J) 0> -I ...... 1 - Audit Sample No.  !.l.'l 0 ~ (is'" ~ I'\.) (0 ~ 2 - DEK Submittal "::E ('I) !.l.'l c:

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requirements 11/9/07 end. No. 200 Imanual (TRM) is authorized, 8 MD7300 111120/08. ' ad~ to the TRM required complete ILC000141, LI* ne NA ML082971079 actions to take if the AS 1/16/09; NC LAOOO735 Ir.." ..;r.........nt.. during a heavy NC, design change DEK will complete required recorded as modifications to the AS cra completed girder to end-tie 5/5/08 9 (connections and confirm LC000141, Li/??tna. D7301 LA000732 bolting material as in Section 4.2.2.9 of this LAR. 9 withdrawn by letter dated 4111 Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 9 I" III 1: ,,. 1: --! 111_ ...410 -....* en .!z >. !<i' 'i ...~0 1il.!~ C c l<i z ci 41 15. fti i Z ci () ...c 41 ftI iE 0 ~-!.s "0,, .!S& .! III C 'II: en .5 'II: .lI:Q. ... << (/1 c Q. ~;: .! c ftI 0 e ... 41 Q. ... (/1 0 Q.z

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3. DEK will not perform a heavy lift greater than 50 using the AS crane. This None to commitment will be NRC; superseded when a seismic chan{

11c 1:-:-: ~~ ::::___ .. ML082971079 1 ' ' ' ",'0' IMD7300 111/20/08,No. 200 , approved methods, NRC. demonstrates acceptable complete 1/27/09, NC LC000141, GNP procedure LAOO0999 08.12.02, U* Chnged procedure GNP Inane ~i~i~~NA INA results are achieved for the "Control for 08.12.02 AS crane and establishes a new limit based on lifting heavy loads greater than 50 tons. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 11 -I: 41 --! .s 41 iI: IUtI C' o III 111_ 8!.. til I: e ..,~ ,,<i' .sz 1: >. ]~ !z ->. "iii IU

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2. DEK will perform a "push" to provide empirical documenting the force required to induce crane and bridge drive rolling with the brakes applied. The results ofthe will be provided to the NRC. Push Test 12 r,"_*,Audit . IMD9221 3. DEK will have an Inm\lirl"'rI in none Sample #12 IS a Ml090570710 independent peer review pickup from #9 performed of the nonlinear with structural model and outputs supplements of the nonlinear analysis to dated 9119/08 confirm the methodology is and 3/17/09) appropriate for the applicatiod and provide a summary of Note 12-2 review to the NRC.

[The three items are managed as one. The 4th (RgCm) Regulatory Requirement in the 9/19/09 supplement was not selecte the audit sample - kdf) Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 12 1:: --2 ';.!1; "" CII CII_ ~jI.. 01 1:: ~ ,,;;( ~~ > li;;( -> 'ii nI i C/) c ~...I C § nlZ :Ie( 0 ~~.s ~ i~ :1 'O'"z -E '#: 0. 0 ... ~ U Z iii t: 0 ~ U "0,, 01 ~;: Q.'O 0 '0'"0 ~z ~- ~ 'E Z c .!.5.g, .S '#: C ~ C/)z 11:: " Q.CII ~ nI_ nI 0 2!~ - - Q. nI .x 0. E J:I. (.) ~

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(.) Z DEK commits to control the Ich fue 1at a Letter approving minimum usable amount of 1 IUSAR Rev 22 1/27/09 09-061 I rotice of ME0435 e~for~ment 32.858 gallons (including the day tanks) is available to complete LC000315 (No LA number None to NRC U' 6/30/10 13 IML090510149 discretion, supply each emergency 6/10109; NC pg8.2-18, one item 1/29/09, diesel generator (EDG) Section only) ML090291061 (without reliance on a 8.2.3.1 portable transfer pur the duration ofthe discretion. 14 'ML091600037 . ust duct insulation (SAMA 160) will be further MD9408 I Review ongoing levaluated as part of DEKs In progress; NC ILC000345, LAOO1560 INone to NRCIU' Note 14-E Not yet ined "nn"inn performance programs. mple deleted request of 15 deleted IMD9408 IProject Manager results not Iresults not Lt' not not the used. used Table 2- Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 13 CCII E QI-~ 76~~ - ('0. en e III 111_ CII

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<<<< (.) 1.1 C!) 0 Q ."t:I w << . u.. o I'll %: .:E I'll I'll .c E (.) z° C!) 1 . Additional information will be included in the USAR Supplement (License Renewal Application, A), including license renewal identified in Table A6.0-1, as 8/17/09 09-469 I I applicable. These USAR IsuPPlement changes will be MD9408 Li~nse ren~wal consistent with the In progress; Reportable LCOO0343, through Ill- lexoected to bEinone INA 16a IML092320093 review ongoing responses to Requests for NC LAOO1541 USAR Additional Information (RAls) change 82.1.13-5,82.1.14-3, 82.1.15-1. 82.1 .18-1 , 82.1.21-1.8.2.1.31-1. and 83.1-1, are proposed to support approval of the renewed operating license, and may change during the NRC review period. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 14 ('.  :., "O~ e --.c Oi en en e ~Z

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."0 w <C ~.§ o.::E'" .c E <C<C on o C u.. (!) .5 J: Z The response to RAI 83. No change to will be provided following RgCm. luation of the Letter SN 10- IChange was 033 dated MD9408 ILicense renewal tTrack to nsferred dated 212/10 16b IML092320093 review ongoing for action by (responded to from LA001848 RAI83.2-2) LA001542to LAOOl848 [Three of nine mmitments were selected for audit - kdf] Conversion to Tech Spec In progress; LC000407, ME2139 I Improved TS to N LI* Bases LCO none 17a IML092440398 2. DEK will establish the INC LA001897 review ongoing 3.0.8 Technical Specification 8ases for Limiting Condition for Operation (LCO) 3.0.8, adopted, with the applicable license amendment. Table 2 - Kewaunee Power Station RgCm Data Table - Detailed Audit Data Page 15 ('0. >. "iii III 'tl~ >. Qj --.c 'C CIIZ 'C ~- $~ "iii~ ...o~ Ol .!!.!!:: e 'C ~ ... L o ra ra 0

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. ~ << . _0 <;'~ > 411 oQ. ..., .:E 01 c c nI .c E nI <<<<0 CI u.. ~ () '" z Q C!) .5 The revised Work Control Revised work . Process program will be LCOO0394. 18 I::: ::::.:._. __ ._ IMD9408 1License . renewalld . eve Iope d and'Impl td emen e In progress; LAOO1858 I Not closed Ill" Iproaram Inone review ongoing --or . t0 th e perlo . d 0f NC operation. 10/15/09 plete Leter SN 09 to RgCm LCOOO239. 645 dated 19a changed LAOO1178 9/15/09 to Note 19-E 10/1/09 NRC 10/15/09) 1

• Audit Sample No.

2

• OEK Submittal 3

• NRC TAC No.

4

• NRC Issuance 5

• Summary of Commitment o

S: (j) c.. A - Action Completed (date) >>.c:: c..

Action in Prgress (no date) Not Changed I Changed to what? oIII or B - KPS Tracking # LC#"CAP# C - If closed, then KPS closeout information .. r D - Governed by KPS process document # (See Note LI*) E - Affected implementing <p document m F - Affected change document G

• Closed RgCm implemented in timely manner (Yes I No INA)

H

• Open RgCm is adequately Maintained (Yes I No INA)

I - Changed RgCm is adequately managed (Yes I No INA) Table 3 - Kewaunee Power Station RgCm Data Table Notes and Legend Page 1 Topic or Word I Symbol Note. legend or discussion ADAMS Agencywide Document Access and Management System Amd or Amend. amendment The Preventive Maintenance Program would be improved if the Comment field on the PM (preventive Audit observation (general) maintenance) Data Sheet informed the user that the sheet had a RgCm associated with it. Commitment management staff should consider preparing a Guideline to ensure consistent input to tTrack by Audit observation (training) stakeholders making infrequent use of tTrack. The ability to transfer tracking from one LC/LA set to another is demonstrated in Sample 16b. The rationale for Audit observation 16b-B the transfer is explained in LA001848: The NRC wanted more items for another purpose. KPS consolidated LA001542 with LA001848. CFR Code of Federal Regulations Column headings and cell Columns are labeled numbers 1 through 5 and letters A through I. Sample numbers are listed in column 1. designations Notes are designated as "Note (row) - (column)" Persons identified as making routine, standardized data entry into tTrack, identified as Noreen Wenborne, Commitment management staff MaryJo Haese, and Thomas Breene during the course of RgCm data collection. ECN Engineering Change Notice "Potential Impact of Debris Blockage on Emergency Recirculation during Design Bais Accidents at Pressurized-Generic Letter 2004-02 Water Reactors," September 13,2004 "Experimental Studies of Loss-of-Coolant Accident-Generated Debris Accumulation and Head Loss with GSI-191 Emphasis on the Effects of Calcium Silicate Insulation," May 2005 kdf Karl D. Feintuch (Mainly used in combination with brackets to indicate an auditor comment.) KPS Kewaunee Power Station LA Licensing Action;one or more LA can be associated with one LC LC Licensing Commitment In this report LI* represents LI-AA-110, Rev. 0, "Commitment Management," which governs the management of RgCm. In addition, GNP-03.01.01, Rev. 41 during RgCm Audit and Rev 42 when the Report was issued, LI* "Directive, Implementing Document, and Procedure Administrative Controls" (commonly referred to at KPS as the "Procedure on procedures") governs tracing the effect of RgCm on procedures. Therefore, the management of RgCm, when it affects procedures is controlled by a combination of these 2 procedures. "MLnnnnnnnnn" (I.e. ML followed by 9 digits) is the identifier used by the NRC to access documents and records ML# within its Agencywide Document Access and Management System (ADAMS) document control system. NC Not Changed (as used in column A) Table 3 - Kewaunee Power Station RgCm Data Table Notes and Legend Page 2 Topic or Word I Symbol Note legend or discussion A "Yes" in Column G, H, or I* indicates that the RgCm was successfully managed according to the description in the heading. Note 01-G, -H. -I (Le., headings in NA applies if the particilar column does not apply. As examples, for a closed RgCm, "open" is NA; for column G. H and I) unchanged RgCm. "changed" does not apply. Thus "No" would only appear in Columns G, H or I if the RgCm was not adequately managed. Note 03-C NRC notified via suubmitted document SN 08-0113 dated 6/2/08 ML081550342 The Technical Requirements Manual (TRM) is a licensee controlled document for managing requirements that Note 04-C the NRC has approved to be transferred from control by the Technical Specifications.(TS) Observation: Regarding the July 7,2008 application, the licensing group should define a closeout event at which to terminate its ownership of a RgCm intended for its doownstream stakeholders (i.e., Design. Operations, Training, as examples) Note 12-2, Audit Observation and Audit Finding: DEK lacks a documented instruction in LI-M-110, "Commitment Management." that the instructs Audit Finding the commitment management staff to review all incoming I outgoing correspondence for impact on existing RgCm. Heretofore, commitment management staff has been performing this action without a documented instruction, within LI-M-11 0, to do so. [Suggestion pertaining to on-going RgCm: Stakeholders should report completion plans to Licensing staff for Note 14-E tTrack entry and for future reference.- kdf] The sample contained proprietary information, an attribute not needed to assemble a valid audit sample. The audit results for the sample were consistent with results from other samples, and its removal did not change the Note 15-5 findings of the audit. Further, the sample population grew from the original 19 selections to a net population of 24 (1,2,3.4.5.6.7,8,9,10. 11a, 11b. 11c. 12, 13, 14, 15 omitted, 16a, 16b, 17a, 17b, 17c, 18, 19a, 19b) to track the management of separate RgCm parts. Affected procedures (21 documents, as indicated by separate serial numbers): OP-KW-NOP-RHR-001, -003 SP-34-099A, -099B Note 19-E OP-KW-NOP-SI-002 OP-KW-MOP-RHR-001A, -001 B, -002A, -002B, -003A, -005A, -0058, -006, -006A, -006B OP-KW-NOP-SI-001 [possible typo in KPS text: NOP should possibly be MOP - kdf], -002, -004 OP-KW-MOP-ICS-001, -002, -003 In this audit TS references are to the Custom Technical Specifications (CTS), which preceded the conversion to Note on references to TS Improved Technical Specifications (ITS) on February 2, 2011. RgCm items closed and remaining the same:; 1, 2, 3. 4, 5, 6, 7, 8, 9, 11 a, 11 b, 11 c, 12, 13, 17b, 17c (16 items) Note on sample characteristics for RgCm items changed and closed:; 16b, 19a, 19b (3 items) the sample size of 24, categorized RgCm items open and remaining the same:; 10,14, 16a, 17a, 18 (5 items) from audit results RgCm items open and changed none Table 3 - Kewaunee Power Station RgCm Data Table - Notes and Legend Page 3 Topic or Word I Symbol Note legend or discussion A discussion pertaining to Table 2, row number and column number, which is inserted in Table 3 due to space Note row-column limitation. (Example: Note 01-G, pertains to row 01, column G on Table 2. NRC Information Notice 84-55 "Seal Table Leaks at PWRs," July 6, 1984 NRC Information Notice 84-55, "Seal Table Leaks at PWRs," May 14, 1985 Supplement 1 NRC Information Notice 92-15 "Failure of Primary System Compression Fitting," February 24, 1992 NUREG/CR-6260 "Application of NUREG/CR-59999 Interim Fatigue Curves to Selected Nuclear Power Plant Components," 1995 NUREG-0554 "SinQle-Failure-Proof Cranes for Nuclear Power Plants," May 1979 NUREG-0612 "Control of Heavy Loads at Nuclear Power Plants: Resolution of Generic Technical Activity A-36," July 1980 Regulatory Commitment, as interpreted by NEI 99-04 (the industry document governing RgCm management) RgCm and LlC-105 (the NRC document QoveminQ RgCm audits) SAMA 160 is described in the license renewal submittal as "Insulate EDG Exhaust Ducts." The context is that SAMA 160 insulating the EDG exhaust ducts would reduce the heat load in thhe room and provide additional time to align alternate room cooling in the event that room cooling has failed. A comment by auditor kdf, not specific to a RgCm, but offered as a suggestion. No action or response is Suggestion expected. Suggestion (based on Audit Items [Commitment management staff should monitor processes that cause users to contact them for RgCm 11a, b, c) information and arrange to add RgCm information to relevant databases. - kdf] Supple Supplement Title 10 The section of the Code of Federal ReQulations pertaining to "Energy" Technical Requirements Manual - a licensee controlled document for managing plant specific technical TRM requirements. The TRM is incorporated by reference into the Updated Safety Analysis Report (USAR) TS Technical Specifications, as described in 10 CFR 50.36 tTrack Name of database used to track RgCm. UCR USAR Change Request USAR Updated Safety Analysis Report ML101550684 OFFICE LPL3-1/PM LPL3-1/LA LPL3-1/PM LPL3-1/BC NAME KFeintuch BTuily IRSola for PTam RPascarelli DATE 04/08/11 04/08/11 04/08/11 04/11/11